Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $52.01 / $133.88	Facility		$22.84	$52.01	$133.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.84 / $52.01	Professional		$18.80	$22.84	$52.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $55.89 / $173.00	Facility		$25.52	$55.89	$173.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.11 / $45.26	Professional		$12.00	$22.11	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $44.09 / $71.09	Facility		$16.84	$44.09	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $31.59 / $48.70	Professional		$16.87	$31.59	$48.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $23.44 / $25.78	Professional		$17.30	$23.44	$25.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $25.52 / $71.75	Facility		$24.30	$25.52	$71.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $36.45 / $66.83	Facility		$24.30	$36.45	$66.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $21.87 / $21.87	Professional		$21.87	$21.87	$21.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $40.10 / $66.83	Facility		$27.95	$40.10	$66.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $24.30 / $65.56	Professional		$18.23	$24.30	$65.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $10.21 / $24.30	Professional		$10.21	$10.21	$24.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $12.59	Professional		$10.94	$10.94	$12.59